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NPI Code Detail

MEDICARE: ALICIA BUSIC LCSW

MEDICARE: ALICIA BUSIC LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW19111FL

General Provider Information

NPI Number : 1043934185
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA BUSIC LCSW
Provider Business Mailing Address
First Line : 3408 NW 189TH ST
Second Line :
City : EDMOND
State : OK
Zip : 73012-0007
Country : US
Telephone Number : 405-397-1617
Fax Number :
Provider Business Practice Location Address
First Line : 3908 N PENIEL AVE STE 500
Second Line :
City : BETHANY
State : OK
Zip : 73008-3402
Country : US
Telephone Number : 405-397-1617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 04/08/2025

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Directions to “ ALICIA BUSIC LCSW” Practice Location

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